Filing Details

Accession Number:
0001140361-21-022197
Form Type:
4
Zero Holdings:
No
Publication Time:
2021-06-24 16:54:45
Reporting Period:
2021-06-22
Accepted Time:
2021-06-24 16:54:45
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1339005 Femasys Inc FEMY Surgical & Medical Instruments & Apparatus (3841) 000000000
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1856783 R Edward Uzialko C/O Femasys Inc.
3950 Johns Creek Court, Suite 100
Suwanee GA 30024
No No No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2021-06-22 100,000 $13.00 127,786 No 4 P Direct
Common Stock Acquisiton 2021-06-22 1,059,445 $0.00 1,187,231 No 4 C Direct
Common Stock Acquisiton 2021-06-22 30,175 $0.00 30,175 No 4 C Indirect By Spouse
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
No 4 C Direct
No 4 C Indirect By Spouse
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Series A Convertible Preferred Stock Disposition 2021-06-22 1,059,445 $0.00 1,059,445 $0.00
Common Stock Series B Convertible Preferred Stock Disposition 2021-06-22 30,175 $0.00 30,175 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 No 4 C Direct
0 No 4 C Indirect
Footnotes
  1. 1,059,445 shares of Series A Convertible Preferred Stock were automatically converted into Common Stock in connection with the closing of the Issuer's initial public offering. The Series A Convertible Preferred Stock had no expiration date.
  2. 30,175 shares of Series B Convertible Preferred Stock were automatically converted into Common Stock in connection with the closing of the Issuer's initial public offering. The Series B Convertible Preferred Stock had no expiration date.